Manager - Legal

Description & Requirements Maximus is currently hiring for a Manager - Legal to join our California Behavioral Health Investigations and Medical Survey team. This is a remote opportunity. The team conducts audits (surveys) of Managed Health Care commercial and Medi-Cal health plans in the state of California. The client is the California Department of Managed Health Care (DMHC), Division of Plan Surveys (DPS). We are a clinical vendor for the client, with a team of clinical staff (clinicians and nurses) with varied backgrounds and educational and work experiences. The Manager - Legal has the integral role of supporting the Project Director in the overall management of the project, as well as serving as a subject matter expert on managed health care statutory and regulatory requirements and legal report writing. Essential Duties and Responsibilities: - Manage Project Management team in the planning, monitoring and execution of all projects within the portfolio. - Build project management expertise within the team and develop best practices. - Coordinate and evaluate the work of the Project Management team. - Ensure exposure to risk is minimized on all projects. - Provide accurate and timely communication to leadership regarding risks, issues and plans to address each. - Provide recommendations to leadership to improve business and project processes to achieve improved results. - Monitor performance of subordinates according to established monitoring standards; conduct performance appraisals, make decisions on personnel actions including hiring, firing, and disciplinary action. - Provide subject matter expertise in California managed health care laws and regulations. - Research California managed health care laws, regulations, and plan contracts to ensure proper application of statutory and regulatory requirements, and maintain working knowledge for application to current and anticipated project needs - Monitor survey calendar and ensure milestones for surveys are met - Quality review of survey pre-onsite and post-onsite client deliverables - Write and update survey process documentation; assist with revising or developing, as appropriate, policies and procedures at the project and the corporate level to maintain contractual, regulatory, and statutory compliance - Review, revise and edit survey reports to ensure accurate factual findings and legal citations/support - Participate in virtual and on-site surveys as assigned - Participate in staff, survey and client meetings - Manage or contribute to, as appropriate, the development of project staff training and training materials - Respond to ad-hoc questions from internal and external clients - Communicate project and client policies, procedures and practices to all team members as needed - Maintain good standing with applicable state bar through continuing education - Other duties as assigned Minimum Requirements - Bachelor's degree with 5-7 years of project management experience, or equivalent combination of education and experience.. - Knowledge of workflows and project mapping. - Able to handle multiple tasks and competing priorities. - Strong ability to communicate updates and project status effectively and efficiently. - Juris Doctor (JD) from an accredited law school, required - Bar admission strongly preferred - Minimum of three (3) years of experience in managed health care preferred; other work or educational experience taken into consideration - Ability to read and interpret statutes and regulations with ability to translate complex legal requirements into practical operations advice - Strong organizational skills, attention to detail, analytical skills, and problem-solving capabilities with excellent interpersonal, written, and verbal communication skills - Ability to manage multiple priorities in a fast-paced, organizationally complex, deadline-oriented work environment - Ability to work collaboratively with multiple stakeholders - Excellent verbal and written communication skills - Audit experience, including interviewing and fact finding, preferred - Must be a team player and have the willingness to continue to learn and evolve in the position - Must be able to work independently and exercise good judgment - Heightened awareness of business ethics and compliance - Proficient in Microsoft Office (Word, Excel) required Please note: For this position Maximus will provide equipment to use. Home Office Requirements: - Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to - Minimum 5mpbs upload speed - Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router - Private work area and adequate power source - Must currently and permanently reside in the Continental US EEO Statement Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We're proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Minimum Salary $ 75,000.00 Maximum Salary $ 90,000.00

Created: 2024-11-13